POST-OPERATIVE PATIENT-CONTROLLED ANALGESIA

2021 ◽  
Vol 21 (3) ◽  
pp. 280-284
Author(s):  
O.O. Pochynok ◽  
I.A. Kuchynska ◽  
D.O. Dziuba
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Postoperative Pain Management ◽  
Pharmacokinetic Profile ◽  
Modern Method ◽  
Patient Controlled Analgesia ◽  
Routes Of Administration ◽  
Post Operative Pain ◽  
Poor Treatment ◽  
Keyword Searching

Background. Unsatisfactory cases of pain management resulted in poor treatment outcomes have been reported in the last quarter of XX century and unfortunately the number of the cases is not decreasing nowadays. Moderate or severe pain are critical causes of complications, increase in morbidity and mortality in the postoperative period after surgical procedures. Patient-controlled analgesia (PCA) is an effective strategy for postoperative pain management as it may provide suitable analgesic dose just after system activation thus reducing periods of pain and an increasing patients’ satisfaction. The purpose of this study is to elucidate the optimal and modern method of postoperative pain-controlled pain managements. Materials and methods. The study material was selected by keyword searching throughout databases Google, PubMed, journal "Anaestesia and Analgesia". Keywords entered into the database search boxes were as following: "patient- controlled analgesia", "postoperative anesthesia", "postoperative anesthesia". The study provides the lattest approaches, benefits and shortcomings in post-operative pain management. Conclusions. Ptient-controlled analgesia is a promisitng mode to control acute pain. A few advantages of this technique can be distinguished, for example, a higher analgesic level with a patient's satisfactions. Today, there is still no single opinion on which way or medicine is the best to be used in clinical practice because clinical efficiency / safety depends on a complex understanding of the pharmacokinetic profile of medicines for various routes of administration. In addition, pharmacoeconomic research is needed to assess the economic efficiency of these approaches.

scholarly journals Quo Vadis PCA? A Review on Current Concepts, Economic Considerations, Patient-Related Aspects, and Future Development with respect to Patient-Controlled Analgesia

2020 ◽  
Vol 2020 ◽  
pp. 1-7 ◽  
Author(s):  
S. Nardi-Hiebl ◽  
L. H. J. Eberhart ◽  
M. Gehling ◽  
T. Koch ◽  
T. Schlesinger ◽  
...  
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
New Technologies ◽  
New Products ◽  
Pharmaceutical Research ◽  
Postoperative Pain Management ◽  
Patient Controlled Analgesia ◽  
Human Errors ◽  
Routes Of Administration ◽  
Quo Vadis

This review assesses four interrelating aspects of patient-controlled analgesia (PCA), a long-standing and still widely used concept for postoperative pain management. Over the years, anaesthesiologists and patients have appreciated the benefits of PCA alike. The market has seen new technologies leveraging noninvasive routes of administration and, thus, further increasing patient and staff satisfaction as well as promoting safety aspects. Pharmaceutical research focuses on the reduction or avoidance of opioids, side effects, and adverse events although influence of these aspects appears to be minor. The importance of education is still eminent, and new educational formats are tested to train healthcare professionals and patients likewise. New PCA technology can support the implementation of efficient processes to reduce workload and human errors; however, these new products come with a cost, which is not necessarily reflected through beneficial budget impact or significant improvements in patient outcome. Although first steps have been taken to better recognize the importance of postoperative pain management through the introduction of value-based reimbursement, in most western countries, PCA is not specifically compensated. PCA is still an effective and valued technique for postoperative pain management. Although there is identifiable potential for future developments in various aspects, this potential has not materialized in new products.

Postoperative Pain Management

2018 ◽  
Author(s):  
Abhishek Parmar
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Clinical Information ◽  
Postoperative Pain Management ◽  
Patient Controlled Analgesia ◽  
Management Options ◽  
Nerve Blocks ◽  
Epidural Catheter Placement ◽  
Opiate Abuse ◽  
Regional Nerve Block

The aim of this review is to provide practical clinical information on modern pain management options to guide the clinician on evidence-based practices, optimizing the treatment of pain and avoiding practices that may lead to potential abuse. Postoperative pain management is an essential component of any surgeon’s practice and has clear implications for surgical outcomes, patient satisfaction, and population health. Understanding options within a multimodal approach to pain management in the acute setting is a key determinant to improving outcomes for our patients. This review discusses multimodal analgesic options, including a variety of pain medications (opiates, antiinflammatory medications, and patient-controlled analgesia) and techniques (epidural catheter placement, regional nerve blocks) to be used in tandem. Lastly, best possible practices to avoid opiate abuse are discussed. This review contains 4 figures, 5 tables, 1 video and 96 references. Key words: antiinflammatories, epidural, narcotics, patient-controlled analgesia, postoperative pain, regional nerve block

The Quality Test for Postoperative Pain Management using the American Pain Society Patient Outcome Questionnaire Revisied (APS-POQ-R) version Indonesia at Mohammad Hoesin Hospital in Palembang (A study of the quality level of postoperative pain management

2020 ◽  
Vol 1 (2) ◽  
pp. 41-45
Author(s):  
Malina Resta Maria Panjaitan ◽  
Dewi Arsinta ◽  
Rose Mafiana
Keyword(s):  
Patient Outcome ◽  
Pain Management ◽  
Postoperative Pain ◽  
Emotional Experience ◽  
Postoperative Pain Management ◽  
Education Level ◽  
Quality Level ◽  
Outcome Questionnaire ◽  
Post Operative Pain

A B S T R A C TPain is an unpleasant sensory and emotional experience associated with actual orpotential tissue damage, or described in terms of such damage. APS-POQ-R (RevisedAmerican Pain Society Patient Outcome Questionnaire) is a measuring tool for assessingthe quality of postoperative pain management by exploring patient experiences andoutcomes. This research aims to assess the quality of postoperative pain managementat Mohammad Hoesin Hospital Palembang and to determine the factors that influenceit. The Cross-sectional observational analytic study was conducted toward 51respondents. Data was collected primarily by using questionnares and interview. Datawas analyzed by using chi-square. The study showed that the quality of postoperativepain management at RSUP Mohammad Hoesin General Hospital Palembang has goodquality with a total of 27 patients (52.9%). From statistical analysis there wassignificant relationship between the quality of post-operative pain management withage (p=0,037), gender (p=0,027), ethnicity (p=0,039), education level (p=0,039), andeconomic level (p=0,005). So it can be concluded that was a significant relationshipbetween the quality of post-operative pain management with age, gender, ethnicity,education level, and economic level.

scholarly journals Continuous Fentanyl Background Infusion Regimen Optimised by Patient-Controlled Analgesia for Acute Postoperative Pain Management: A Randomised Controlled Trial

2020 ◽  
Vol 9 (1) ◽  
pp. 211 ◽  
Author(s):  
Jihoon Hwang ◽  
Sang Kee Min ◽  
Yun Jeong Chae ◽  
Gang Mee Lim ◽  
Han Bum Joe
Keyword(s):  
Pain Management ◽  
Side Effects ◽  
Postoperative Pain ◽  
Randomised Controlled Trial ◽  
Controlled Trial ◽  
Postoperative Pain Management ◽  
Patient Controlled Analgesia ◽  
Acute Postoperative Pain ◽  
Background Infusion ◽  
Randomised Controlled

Owing to a lack of studies investigating the effect of adjustments in fentanyl background infusion (BI) with patient-controlled analgesia (PCA) on postoperative analgesia, we evaluated three BI regimens with fentanyl PCA for acute postoperative pain management. This randomised controlled trial enrolled 105 patients, who were assigned to three parallel groups: constant rate BI of 2 mL/h (CRBI group); time-scheduled decremental BI of 6, 2 and 1 mL/h (TDBI group); and BI rates optimised to the demand of PCA (POBI group). The incidence of insufficient analgesia, visual analogue scale (VAS) pain score and side effects were evaluated. The incidence of insufficient analgesia in the post-anaesthesia care unit was lower in the TDBI and POBI groups than the CRBI group. Incidence of insufficient analgesia in the ward was lower in the POBI group than the CRBI group. Postoperative VAS scores were significantly lower in the TDBI and POBI groups for up to 4 h and 24 h, respectively, compared with the CRBI group. Side effects and infused fentanyl dose were highest in the CRBI group. Adjusting BI rate based on time or patient demands could improve postoperative analgesia and reduce side effects. Compared to a constant BI rate, PCA-optimised BI achieved higher patient satisfaction.

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